CMS Price Transparency Data

Blood test, liver function panel

Facility: Holland Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Holland Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $47 (575%)
Insurance Median: $11 (135%)
Cash: $47 (575% of Medicare)
Ins. Median: $11 (135% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Nomi Health - All Plans $6 73%
UnitedHealthcare $6 - $78 73%
Aetna $8 - $11 98%
Health Alliance Mcr Adv $8 98%
Life Circles-All Plans $8 98%
Ph Mcr Adv $8 98%
Va Ccn - All Plans $8 98%
Longevity Health Plan-All Plans $9 110%
Cigna $10 122%
Cofinity -All Plans $10 122%
Priority Health - All Other Plans $11 135%
Sisco Epi $11 135%
Sisco-All Other Plans $11 135%
Asr - All Plans $12 147%
Blue Cross Blue Shield $12 147%
Health Alliance Ahl - All Other Plans $12 147%
Health Alliance Hmo $12 147%
Molina Mcaid - All Plans $25 306%
Ph Mcaid $25 306%
Multiplan - All Plans $68 832%
Benefit Source Inc-All Plans $70 857%
First Health-All Plans $70 857%
Usa Managed Care-All Plans $70 857%
Integrated Health Plans-All Plans $74 906%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals